East London Patient Record (eLPR)
Formally known as Health Information Exchange (HIE), East London Patient Record (eLPR) is a consolidated and read only view of a patients’ health record.
It allows healthcare professionals to have access to all relevant information about a patient at the point of care, by pulling information from east London health and care providers, including:
- GPs (City & Hackney, Newham, Tower Hamlets and Waltham Forest)
- Homerton University Hospital Foundation Trust (HUHFT) - acute and community
- Barts Health (Acute)
- Mental Health Reports (from East London Foundation Trust - ELFT)
Very soon we will also have social care records (from Hackney Council and City of London).
Bridging the information gap
Delivering joined up health and social care is high on the government agenda and a focal point in the NHS Long Term Plan. So for City and Hackney to become more collaborative than fragmented when it comes to an individual’s health and care, we have to take a ‘system-wide’ implementation approach when it comes to data sharing.
Locally, data sharing is taking place in real time for individual care between 4 CCGs, 5 acute hospital sites, a mental health trust three sets of community services and almost 200 GP practices, covering a population of almost 1.5 million.
Longer term it aims to integrate sources of health and social care information London-wide and across a wider ecosystem to facilitate continuous improvement in the delivery of direct patient care.
The benefits of eLPR
Embracing digital versus paper
- Investing in streamlining data and processes promises huge efficiencies across the entire health and social care and for those working in the sector.
The value of data at your fingertips
- It is incredibly powerful to have a 360-degree view when assessing or treating a patient.
- The more information a healthcare professional has to hand, the easier it is to diagnose, treat and refer a patient appropriately.
The key benefits we’ve identified
- Multi-channel care allows a healthcare professional to support a patient in the way they prefer
- Decreases costs by having a patient record when they need it and where they need it, they can avoid unnecessary interventions (e.g. repeating unnecessary diagnostic tests)
- Delivers efficiencies for clinicians by allowing for better preparation ahead of consultation and a reduction in admin duties (e.g. chasing information from other organisations)
- Raises quality by releasing time for care and the ability to provide more personalised engagement with patients
Information governance and eLPR
Any type of Personal Health Record relies on data being shared between clinicians and patients. This information may need to be shared between more than one healthcare provider, before it can be used by a patient.
This means providers must have data sharing agreements (DSAs) and fair processing notices in place, to detail what information can be shared and how it can be used. These are sometimes called information sharing agreements (ISAs).
If you have any questions or comments on any of the above, please get in touch with your organisations’ team lead to find out more. If you don’t know who that is locally, contact the eLPR programme manager (firstname.lastname@example.org) for guidance.